THR Not so tragically hip

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wollypog

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Hello fellow recoverites. I had left THR on Friday, December 2nd. Here's my backstory.

When I was 10, I had bi-lateral hip de-rotation osteotomy surgery. This was to correct inward rotation that led to being knock-kneed and pigeon-toed. They cut each femur, rotated my legs, put in a small wedge to change the angle of the femoral head to the hip bone and then pinned things in place. I was in a cast from my torso to my toes for 3 months. The pins were left in for a year, and removed in a subsequent surgery.

After that, things were never quite right with my legs. I sprained my left ankle so many times I had to have a it repaired in the early 90s. My right knee was weak and i sprained it many times, resulting in lots of pain. I had two scopes to clean up the OA. The last scope, in 1995, was successful at relieving the pain and I had 10 good years.

Flash forward to 2005. My right knee and left ankle had been pretty good. I was walking and staying active. One night, while out for a walk, I felt a serious sharp pain in my left hip. I walked back home but it was really really sore. The pain came and went for several weeks, but it got progressively worse. I was referred to an orthopedic specialist who ordered lots of x-rays, a bonescan and finally a hip injection. All of that helped, but the pain always came back.

In late 2015, I decided it was time to consider THR. I saw my family doctor who ordered xrays and MRI. The day after the MRI, I joined my wife (@cairistiona60) at a followup appointment with the surgeon who performed her TKR in 2015. The surgeon agreed to look at my xrays and MRI during the appointment. He viewed the first xray and without a pause said "You need a new hip". There were bone spurs, the femoral head was shifted up one half inch and there was no cartilage left in the joint.

So, I booked an appointment with surgeon for the initial consult at which we both agreed to go forward with the procedure. The region in which I live is terribly underfunded for joint replacements, so there are wait times. I waited 5 months to get a date, and another month for that date (November 30) to arrive. On Monday, November 28, the surgeon's office called to tell me that they needed to move my surgery to Friday. Because of my previous surgeries, the surgeon wanted extra time for my case.

Finally, the date arrived and @cairistiona60 and I headed off to the hospital. The surgical team were fantastic and made the process as low stress as possible. The procedure lasted just over 2 hours and went well. I was fortunate to have a spinal block instead of general anesthetic. Coming out of the Propofol was so much easier than with a GA. I was fully alert in recovery, and completely frozen from belly button down.

So, it's now day 4. I've been home since Sunday afternoon, and I'm doing pretty well. I can get around the house on my own and pain is manageable. I'm taking 2mg dilaudid every for hours to keep it in check.

The best part of the whole experience is that I have had @cairistiona60 by my side. She has supported me through the long wait for surgery and the OA pain and poor mobility that brought me to this point. She has taken this week off work and is at home with me, doing the things I can't do. I'm a lucky man.
 
@wollypog Congratulations! Surgery is done and it sounds like the spinal worked well for you! You are a lucky man to have such great care and attention from your wonderful wife! I am glad you are getting around so well!
The meds are doing the right ones since you have pain under control. Get your rest and ice and elevate! I kept everyone busy getting ice packs for the first few days especially!
 
Welcome to the otherside!
Glad to hear you are in good hands and are doing well.

Here is the post op reading, everyone gets a copy.

First are the BoneSmart mantras ....
- rest, elevate, ice and take your pain meds by the clock as prescribed
- if it hurts, don't do it and don't allow anyone - especially a physiotherapist - to do it to you
- if your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again
- if you won't die if it's not done, don't do it
- never stand when you can sit, never sit when you can lie down, never stay awake when you can go to sleep!
- be active as much as you need to be but not more than is necessary, meaning so much that you end up being in pain, exhausted or desperate to sit down or lay down!

Pain management and the pain chart
Healing: how long does it take?
Chart representation of THR recovery
Dislocation risk and 90 degree rule
Energy drain for THRs
Pain and swelling control: elevation is the key
Activity progression for THRs
Home physio (PT)
Post op blues is a reality - be prepared for it
Myth busting: on getting addicted to pain meds
Sleep deprivation is pretty much inevitable - but what causes it?
 
Wow Wollypog! Thanks for sharing such an interesting history. You've really been through the mill and your bones and joints look to be getting much better especially after the THR. Best of luck going forward!
 
Congratulations @wollypog - may your healing and recovery bring you the freedom from pain and distress that you deserve, after such a long history of surgery and troubles.

Best of luck to you and your lovely wife, who sounds like an absolute gem. I hope each day you feel the most wonderful advancement of health.
 
Great news. Rest and follow the Bonesmart mantras and all will be well. Happy healing!
 
so glad you are now out of pain. You have great home support from your wife and you seem to know what to expect. Have great recovery.
 
Welcome to the other side @wollypog ! Get those mantras going. We are with you all the way!
 
Welcome to the other side ! I am a few days ahead of you. Good luck with your recovery!
 
Well, I'm only sorry you had to wait so long to get relief from your hip pain. So glad your surgery went well and I think you have a wonderful support in your wife! I wish everyone was as lucky as you are! Best wishes for an uneventful and full recovery.
 
One week down and the patient is doing very well. It's interesting to compare the first week of hip recovery with the first week of knee recovery. He is able to get around much more than I did and his range of motion does not appear to be as big an issue as it was with me. I remember spending much more time in bed than he does. His pain level is controlled and his wound is healing nicely. He has had one bad day, but even that wasn't as bad as my bad days were. I'm kind of jealous!
 
Knee recovery is very different than hip. Most people say knees are a tougher recovery. Glad the patient is doing well!
 
They cut each femur, rotated my legs, put in a small wedge to change the angle of the femoral head to the hip bone and then pinned things in place.
Otherwise known as a derotational osteotomy, if that's of any interest to you! Sadly it is almost in inevitable that these young patients end up requiring hip replacement at some time in their lives but most require it sooner rather than later. I think you've done very well to get away with it this long!


BTW, as a child I had a a little black doll based on a brand of marmalade. I called it Pollywog!

golliwog.JPG
 
I am 10 days post op for RTHR. The wound is dry and and clean. Is there any need to continue wearing a dressing?


Sent from my iPad using BoneSmart Forum
 
@wollypog You may notice I moved this post from your second thread into your existing recovery thread. Please keep all your questions and updates on this thread. We like to have all your history in one area so we can better advise you if needed.

What were the instructions given about your wound when you were discharged? Do you have staples or stitches or is the wound glued?
 
@wollypog You may notice I moved this post from your second thread into your existing recovery thread. Please keep all your questions and updates on this thread. We like to have all your history in one area so we can better advise you if needed.

What were the instructions given about your wound when you were discharged? Do you have staples or stitches or is the wound glued?

Thanks @Jaycey



I have staples. The only instructions were for how often to change the dressing - every three days. They did not say anything about continuing for a specific period of time.


Sent from my iPad using BoneSmart Forum
 
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If you didn't receive any instructions other that change the dressing I would keep the wound dressed until you get your staples out. That should be fairly soon. Do you have an appointment? If not, call your GP. The nurse in their office should be able to do this.
 
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